APPROVED ENG2024-0343 SIDE SEWER PERMITPERMIT
PERMIT NU
City •EdmondsSEWER
Edmonds•:0ENG2024-03431
www.edmondswa.gov i
Description: SEWER SPOT REPAIR IN FRONT YARD ISSUED: 07/09/2024
Address: 750 NORTHISTREAM LN EDMONDS WA 98020-2637
EXPIRES: 10/07/2024
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00532500001200
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT JON LOHMAN 5608 17TH AVE NW 1660, SEATTLE WA 98107
(206)310-9830
CONTACT HOMESERVICE PLUMBERS LLC 5608 17TH AVE NW 1660, SEATTLE WA 98107
(206)310-9830
CONTRACTOR HOMESERVICE PLUMBERS LLC 5608 17TH AVE NW # 1660, SEATTLE WA 98107
(206)310-9830
OWNER ADAM\TEASHIA FRENCH 750 NORTHSTREAM LN, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
SEWER - PARTIAL REPLACEMENT - 4.1.24 $132.00 $132.00
REQUIREMENTS
REQUIREMENT TYPE NOTES
TRAFFIC CONTROL
Traffic control and public safety shall be in accordance with City regulations as required by the City
Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification
verifying completion of the required training in their posession.
RESTORATION
Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with
asphalt or City approved material prior to the end of the workday - No Exceptions
WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final
inspection and acceptance of the work.
INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims of
any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its
departments or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney
fees by reason of granting this permit.
RELEASED BY: GRN DATE: 07/09/2024
Printed: Tuesday, July 09, 2024 9:35:12 AM 1 of 2
SEWER PERMIT
PERMIT NUMBER
City of Edmonds
....121
Sth Ave N, Edmonds WA •:0
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in
DAMAGE TO FRONTAGE
City right of Ways or Easements to City Standards caused by or occurring during the permitted
IMPROVEMENTS
project.
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
REQUIREMENTS.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to
indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and
agents from any and all claims for damages of whatever nature, arising directly or indirectly from the
HOLD HARMLESS
issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any
requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
INSP PRIOR TO BACKFILL
Call for all required inspections. All work shall be inspected prior to backfill.
SEWER AND WATER
MAINTAIN 10 FEET OF SEPARATION BETWEEN THE SANITARY SIDE SEWER AND THE WATER SERVICE
SEPARATION
LINE.
Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City Handout E71 for
SEWER ASBUILT
requirements.
PLEASE REFER TO STANDARD DETAILS SS-200, SS-201 AND, SS-202. STANDARD DETAILS CAN BE
FOUND ON THE CITY OF EDMONDS WEBSITE. SDR35 WITH GASKETED FITTINGS IS REQUIRED FOR ALL
SEWER REPAIRS. FOR ANY REPAIRS WHERE THERE IS MORE THAN ONE STICK OF PIPE, A PRESSURE
SEWER REQUIREMENTS
TEST IS REQUIRED. WHERE LINING OR PIPE BURSTING WATER AND TV TEST IS REQUIRED. IF THE 4-6
TRANSITION IS ENCOUNTERED, A 6" CLEANOUT IS REQUIRED AT THE PROPERTY LINE. THE 6"
CLEANOUT SHALL HAVE A 12" CAST IRON LAMPHOLE COVER WITH 1/2 HEX BOLTS, GRIPPER TWIST
PLUG, AND A 24" CONCRETE COLLAR. AN AS BUILT IS REQUIRED PRIOR TO FINAL OF THE PERMIT.
Sound or noise originating from temporary construction sites as a result of construction activity are
exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on
SOUND AND NOISE
weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all
other times the noise originating from construction sites and activities must comply with the noise
limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
TRAFFIC CONTROLS
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
UNDERGROUND WIRING
All new, extended, rebuilt, or relocated electrical utility and/or service shall be placed underground.
All utilities shall be located prior to any excavation. New locates shall be called for if at time of
UTILITY LOCATES
excavation, original locates are no longer identifiable.
PECTION TYPE DATE
7SIDE
RESULT NOTES
COMPLETE
R
X-2 ENGINEERING FINAL"
Printed: Tuesday, July 09, 2024 9:35:12 AM 2 of 2
RECEIVED
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Homeservice Plumbers
Company Address: 5608 17th Ave NW Ste 1660
5608 17th Ave NW Ste 1660
city: Seattle zip:98107
State License# HOMESPL773KW
Expiration Date: 05/16/2025
PROPERTY INFORMATION:
Site Contact: Jon
Phone #: 206-310-9830
Jul 08 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Emai1 #: homeserviceplumbers@gmail.com
City Business License # 605193535
Address: 750 Northstream Ln Edmonds, WA 98020
Owner's Name: Adam French
Phone #:
FULL LINE REPLACEMENT POT REPAIR ❑PIPE BURST ❑RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): 6' Spot repair in the front yard 3' deep.
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAV WNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE—(��7'7. DATE 07/08/24
Contractor,nt
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
RECEIVED
CITY OF EDMONDS
Utilities Application #1513742 - 750 Northstream Ln
Jul 08 2024
MyBuildingPermit.com CITYOFEDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Applicant
First Name Last Name Company Name
Jon Lohman HOMESERVICE PLUMBERS LLC
Number Street Apartment or Suite Number E-mail Address
5608 17th Ave NW 1660 homeserviceplumbers@gmail.com
City State Zip Phone Number Extension
Seattle WA 98107 (206) 310-9830
Contractor
Company Name
HOMESERVICE PLUMBERS LLC
Number Street Apartment or Suite Number
5608 17TH AVE NW Ste 1660
City State Zip Phone Number Extension
SEATTLE WA 98107 (206) 310-9830
State License Number License Expiration Date UBI # E-mail Address
HOMESPL773KW 5/16/2025 BD51 A:35:35 homeserviceplumbers@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
750 NORTHSTREAM LN
City Zip Code County Parcel Number
EDMONDS 98020 00532500001200
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Adam\teashia French
Number Street Apartment or Suite Number
750 NORTHSTREAM LN
City State Zip
EDMONDS WA 98020
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 7/8/2024 Submitted By: Jon Lohman
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i
CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1513742 - 750 Northstream Ln
Project Contact
Company Name: H OMESERVICE PLUMBERS
LLC
Name: Jon Lohman Email: homeserviceplumbers@gmail.com
Address: 5608 17th Ave NW 1660 Phone #: (206) 310-9830
Seattle WA 98107
Project Type Activity Type
Single Family Residential Utility Modification
Project Name: 750 Northstream Ln
Description of Work: 6' Spot repair in the front yard 3' deep
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Scope of Work
Partial Line Replacement
Page 2 of 2